Patient D.T.V (20 years old in Hung Yen) was hospitalized for a infection of a traumatic brain surgical site but was suddenly discovered to have a giant ovarian tumor, occupying almost the entire lower abdomen.
In August 2025, V suffered a traffic accident leading to a traumatic brain injury and underwent surgery to remove a blood clot and graft at a provincial hospital. After surgery, his health was stable and the wound was fine.
However, just two months later, the patient had yellow discharge in the left Korea area - the location of the old surgical incision. Although there was no fever or headache, the family took V to the doctor and discovered a 5 mm leak with frontal - affective diarrhea, diagnosed with an infection of the surgical wound after a traumatic brain injury.
After 7 days of treatment without improvement, V was transferred to a higher level for surgery. After the bone graft, the doctor discovered large bone lumps that were not compatible with the graft. When assessing the overall condition, the doctor also discovered a large tumor in the subcraft area, of unknown nature. Due to the risk of infection progressing, the patient was transferred to the Central Hospital for Tropical Diseases.
Hospitalized in the General Infection Department, the patient had a high fever of over 38.5°C. Tests showed that the patient had a fever with an infection of the traumatic brain surgical scar, while the small brain tumor had not yet been treated.
After 20 days of infection treatment, when his health was temporarily stable, the patient was transferred to the Department of General Surgery - Urology and Andrology for consultation on surgery to remove the tumor.
Clinical examination recorded an abnormal large mass in the lower body. CT results showed a tumor measuring 110 x 163 x 244 mm, uneven edges, with limestone, and abdominal freezing - a suspected sign of maliciousness.
As soon as the abdomen was opened, the surgical team led by Dr. Tran Duy Hien, Department of General Surgery, Urology and Andrology, Central Hospital for Tropical Diseases was surprised to see a giant ovarian tumor, occupying almost the entire lower abdomen. The tumor is round, enlarged on both sides of the fallopian tubes and compresses the uterus.
Due to widespread damage, to avoid the risk of missing malicious cells, the team was forced to remove all the ovaries, fallopian tubes, uterus and the large connective duct. After 3 hours of surgery, the tumor was removed, weighing about 2.9 kg, measuring 30 x 24 cm.
Doctor Tran Duy Hien said: Ovarian cancer is one of the dangerous diseases in women because the symptoms in the early stages are very vague, easily confused with other digestive or gynecological diseases. Many patients only detect the tumor when it is large, causing compression and requiring extensive surgery, severely affecting fertility.
